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Individual

DR. EDELMIRO RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM. D.

Contact information

Practice address
105 GILBERTO CONCEPCION DE GRACIA, CVS HEALTH, SAN JUAN, PR 00907
(787) 725-2500
Mailing address
PO BOX 51877, TOA BAJA, PR 00950-1877
(787) 455-2345

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6197
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6197
PHARMACIST LICENSE NUMBER
PR
Enumeration date
06/15/2017
Last updated
06/15/2017
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